Psychosocial- Exam Flashcards

Terms Definitions
talking around main point
absence of any pleasure
Uses: Cataracts, retinopathy, peripheral vascular disease, varicose veins, diabetes mellitus- May increase risk of bleeding, may lower blood glucose
Accepting the other person's circumstances as though they were one's own
uses: migraine HA prevention, arthritis- May increase risk of bleeding, antiinflammatory inhibition of serotonin and prostaglandins, long term users may experience withdrawal symptoms
What are EPS
Dystonias, pseudoparkinsonian symptoms, akathisia, tardive dyskenesia, neuroleptic malignant syndrome
anxiety comes from our interpersonal relationships with other people Behavioral
Milk Thistle
uses: hepatitis (chronic), cirrhosis- Generally safe up to 4 to 6 years, use caution in diabetes
Another type of collaborate care
Psychopharmacology. Drugs!
Coping mechanisms
usually conscious methods that the individual uses to overcome a problem or stressor. They are learned adaptive or maladaptive responses to anxiety based on problem-solving, and they may lead to changed behavior.
self esteem
individual's personal judgement of his or her own worth. Roots are in early parental and social relationships as well as in the person's perception of goal attainment and his or her own idea.
St. John's Wort
Uses: depressive disorder, anxiety- generally well tolerated up to 1 to 3 months, interacts with many herbs, supplements, and medications, decrease effect of a brain enzyme that breaks down serotonin, advise patient to consult a health care provider, side effect is fatigue
health disparities
differences in measures of health status between different groups of people living in a community, a state, or the entire nation.
What disturbances characterize Schizophrenia
Perception (hallucinations), thought process (thought derailment), reality testing (delusions), feeling (flat/inappropriate), behavior (social withdrawal), attention (inability to concentrate), motivation (cannot initiate or persist in goal directed acti
What is dystonia
Spasmodic movements (prolonged tonic contractions) of muscle groups such as the tongue protrusion, rolling back of eyes, jaw spasm and neck torsion
Saw Palmetto
Uses: BPH- Generally well tolerated up to 3 to 5 years, may increase risk of bleeding, may increase BP
What is balance
This represents the value of developing expertise in nursing. Where nurse gradually allows independent behaviors. Balance personal rights against those of the other patients.
What are some typical (first generation) antipsychotics
Phenothiazines -Clorpromazine, fluphenazine, perphenazine, thioridazine, compazine. Thioxanthenes (Navane), Nonphenothiazines- haloperidol, loxapine, molindone
Which is better to treat negative & cognitive symptoms
What is a MAOI
Blocks metabolic destruction of epinephrine, norepinephrine, dopamine, and serotonin by the enzyme monoamine oxydase in the presynaptic neurons of the brain.
flight of ideas
rapidly jumping from one thought to another with minimal links
cultural awareness
Self awareness of how your beliefs and values influence your behavior. Your behavior influences how you care for patients.
What is required in some to prevent reoccurrence of an acute episode
Maintenance therapy
disadvantages of supplements
- longer time to onset of action- possible drug-herb interactions- inconsistent manufacturing practices- Lack of available and reliable information for consumers
Yin (black with white dot)
represents cold, heavy, moist, and negative
What are some miscellaneous agents
Wellbutrin for those that are unresponsive to tricyclic or cannot tolerate anticholenergic SE. Mirtazepine (Remeron) –seratonin antagonist; Desyrel – low anticholenergic SE, triazolopyridine antidepressant; effexor (venlafaxine) – no one under 18; simi
What are some negative symptoms
Apathy/avolition (lack of energy, just sits), social withdrawal (attempt to reduce stimulus to brain), alogia (reduced content of speech) flat affect, anhedonia (inability to experience happiness or joy)
What are warning signs for suicide
Withdrawal, talking about death, giving away prized possessions, drug or alcohol abuse, personality changes (extremes), signs of depression, unusual neglect, feelings of helplessness, hopelessness and extreme anxiety or panic, previously failed attempts
What are some atypical 2nd generations
Abilify, clozaril, zyprexa, seroquel, risperdal
What should be included in a psychosocial assessment
lifestyle information, normal coping patterns, understanding of current illness, personality style, history of psychiatric disorder, recent lifestyle changes or stressors, spirituality, major issues raised by current illness, and mental status examination
Suicide & Depression factors
Can be severe enough to cause suicide or thoughts of suicide; 15% of diagnosed major depressive order dies from suicide
Does Schizophrenia affect men or women disproportionately or equally
Equal; however gender differences exist: men suffer onset earlier, men have more severe courses, women have more positive symptoms, and estrogen modulates dopamine function to protect women
What is limit setting
Related to norms, limits should be set on acting out behavior such as self destructive acts, aggressiveness and sexual behavior.
(True: Because of language and cultural barriers, the patient may not understand the questions or may be reluctant to report symptoms; in turn, the provider may misunderstand the patient’s description of symptoms.)
When the patient and provider come from different cultural backgrounds, the medical history obtained may not be accurate.
What is a SSRI (selective serotonin reuptake inhibitor)
Newest class, chemically unrelated to other antidepressants. Inhibits reuptake & destruction of serotonin from synaptic cleft thereby prolonging action of neurotransmitter. Most widely used class
(True: A growing number of people from majority U.S. cultures are turning to traditional medicines as part of their health care strategies. Providers should be aware of any such practices that may affect their patients’ health.)
Providers whose patients are mostly European-American, U.S.-born, and middle-class still need to know about health practices from different world cultures.
What is stage 3 of schizophrenia (course)
Acute phase. S/S vary widely but thought, perception, emotional & behavioral disturbances present, unable to function, loses contact with reality
(Answer: d. Although it may seem natural to look at the interpreter when you are speaking, you want the patient to feel that you are speaking to her/him, so you should look directly at her/him, just as you would if you were able to speak her/his language.
Which of the following are the correct ways to communicate with a patient through an interpreter? a. Making eye contact with the interpreter when you are speaking, then looking at the patient while the interpreter is telling the patient what you said. b. Speaking slowly, pausing between words. c. Asking the interpreter to further explain the patient’s statement in order to get a more complete picture of the patient’s condition. d. None of the above.
(Answer: b. Non-adherence can be the result of many different factors that may require a variety of interventions. Simply repeating the instructions may not address the real issues that are keeping the patient from adhering to the regimen. In fact, repeti
When a patient is not adhering to a prescribed treatment after several visits, which of the following approaches is NOT likely to lead to adherence? a. Involving family members. b. Repeating the instructions very loudly and several times to emphasize the importance of the treatment. c. Agreeing to a compromise in the timing or amount of treatment. d. Spending time listening to discussions of folk or alternative remedies.
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